Sireteanu L, Tudor C, Dumbrăveanu L, Sireteanu A
Clinica oftalmologică Tg. Mureş.
Oftalmologia. 1997;41(2):75-7.
The outcomes of the trabeculectomy which finally establish one normal ocular pressure are presented. The surgery method is adjustment of the thickness of the sclera, fragment depending on the initial ocular pressure. The evacuation of the aqueous humor after trabeculectomy is indirect proportionally with the thickness of the scleral fragment. The method was used in 36 eyes with different patterns of glaucoma. At this patients the initial ocular pressure was until 50 mm Hg. In 72.2% from cases was necessary only one surgery intervention for maintain the ocular pressure, without auxiliary drugs; two eyes underwent still one surgical intervention and in seven eyes was necessary auxiliary hypotensor drugs. The outcomes were good in 97.2% from cases. One failure was obtained in one eye with closed angle glaucoma where the trabeculectomy was complicated with malignant glaucoma. Complications were hypema, atalamy with or without choroidal detachment and high ocular pressure. All complications were improved after conservative treatment excepting the case with malignant glaucoma.
呈现了最终使眼压恢复正常的小梁切除术的结果。手术方法是根据初始眼压调整巩膜瓣的厚度。小梁切除术后房水的排出与巩膜瓣的厚度成反比。该方法应用于36例不同类型青光眼患者的眼睛。这些患者的初始眼压高达50 mmHg。72.2%的病例仅需一次手术干预即可维持眼压,无需辅助药物;2只眼仍需进行一次手术干预,7只眼需要辅助降压药物。97.2%的病例结果良好。1例闭角型青光眼患者小梁切除术并发恶性青光眼,手术失败。并发症包括前房积血、伴有或不伴有脉络膜脱离的眼球震颤和高眼压。除恶性青光眼病例外,所有并发症经保守治疗后均有所改善。